Individual
TIFFANY DUNKENTELL SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
527 CROCKETT ST, SHREVEPORT, LA 71101-3601
(318) 222-8511
Mailing address
2616 SPRUCE CIR, BOSSIER CITY, LA 71111-5121
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
LA
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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